340B Drug Pricing Program Database
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CAH161315-00 Keokuk County Health Center (Active)
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Main Details
Name
Keokuk County Health Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161315-00
Medicare Provider Number
161315
Additional Details
Current Program Status
Active
Registration Date
4/2/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/22/2013
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Keokuk County Health Center
Matthew Ives, Administrator/CFO
(641) 622-1155
Primary Contact
Keokuk County Health Center
Anna Clark, Business Office Manager
(641) 622-1148
Addresses
Street Address
23019 Highway 149
Sigourney, IA 52591
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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